CHROMOSOME MICROARRAY (SNP MICROARRAY-PEDIATRIC (REVEAL))

General Information

HLAB/HOL Code: CMAC
UPHSM LIS Test #: 026945
Schedule:
Testing Time: 14-17 Days
Testing Lab: Labcorp

Specimen Info
Only 1 specimen type required, unless otherwise specified

Volume: 4.0 mL
Temperature: Ambient
Tube Type: Whole Blood
Collection Info:
Minimum Volume:  2 mL (neonatal) (Note: This volume does not allow for repeat testing).
Container:  Green-top (heparin) tube (preferred), yellow-top (ACD) tube, or lavender-top (EDTA) tube.
Volume: LabCorp Buccal Swab Kit
Temperature: Ambient
Tube Type: Buccal Swab Kit
Collection Info:
LabCorp buccal swab kit (Buccal swab collection kit contains instructions for the use of a buccal swab.)
Minimum sample: two buccal swabs

Specimen Acceptability

Causes for Rejection
Quantity not sufficient for analysis; wet buccal swab; gel-separator tubes; microtainer tubes and fixed cell pellets

Methods

SNP MICROARRAY-PEDIATRIC (REVEAL): Whole genome SNP-based copy number microarray analysis targeting 2.695 million copy number and allele-specific genome sites

Clinical Utilities

Pertinent medical findings must accompany the test request form. Call 800-345-4363 to request forms, or photocopy the Clinical Questionnaire for SNP Microarray. This test may also be performed on adults.

When a child tested with this assay is found to have an abnormal array of unknown clinical significance that may be clarified through parental testing, there will be no charge associated with the follow-up parental testing that is based on the child's results. All other parental follow-up testing will be charged, including (but not limited to) autism susceptibility regions, known microdeletions/microduplications, autosomal recessive deletions/duplications, and large copy-number changes with likely pathogenic significance. The child's abnormal array results will indicate whether parental testing will be performed at no charge and will include the appropriate parental follow-up test number. For parental follow-up testing for arrays not performed at LabCorp, call 800-345-4363 to speak to a genetic counselor.

CPT Codes

81229

* The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding
is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

Reference Range

An interpretive report will be provided.